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免疫細胞のコミュニケーション・体内動態	
  


                           島岡  要	
  
                   (しまおか  もとむ)	
  

             三重⼤大学⼤大学院・医学系研究科	
  
                   分⼦子病態学	
  




   The authors declare no competing financial interest.
                                                          1
科学教育における	
  
 教師の役割?	
  
    or
 教科書を読む	
  
だけで⼗十分では?	
  
•  Prioritization
•  Motivation
•  Context
Thomas S. Kuhn (1922 – 1996)	

   “Paradigm Shift”
is NOT simply
the Current   Theory
BUT
the Entire Worldview
in which it exists,
& all of the implications
which comes with it
鴨 or   ?
'Normal science’  does resemble the
standard cumulative picture of
scientific progress, on the surface at
least.

                 — Thomas S. Kuhn—




   7
Standing on the shoulders of giants




"One who develops future intellectual pursuits by
understanding and building on the research and works
created by notable thinkers of the past,”	

                                                         	
                                               -Wikipedia-
The Crafoord Prize
is presented by the Royal Swedish Academy of Sciences	

 since 1982 “to promote international basic research …	

                                                       	
 with particular emphasis on Ecology and Polyarthritis”.
・・・	
・・・	
・・・
Eugene C. Butcher   Timothy A. Springer
http://www.kva.se/Documents/Priser/Crafoord/2004/prog_crafoorddays_2004.pdf
Three-Step Model
Selectins, Chemokines, and Integrins sequentially support
        leukocyte-endothelial adhesive interactions




                                                                                          	
                http://www.kva.se/Documents/Priser/Crafoord/2004/prog_crafoorddays_2004.pdf
Zip Code Model
Tissue-specific homing is dictated by combinations of
   Chemokines and Adhesion Molecules on HEVs




                                                                                         	
               http://www.kva.se/Documents/Priser/Crafoord/2004/prog_crafoorddays_2004.pdf
Switch Blade Model
Integrin affinity is enhanced by global conformational changes




                                                                                             	
                   http://www.kva.se/Documents/Priser/Crafoord/2004/prog_crafoorddays_2004.pdf
3 AREAS OF PUZZLE SOLVING�


                                 Integrin Activation
                                  •  Integrin Activation


                                  •  Cell Migration


                                  •  Therapeutics

   (von Andrian, NEJM, 2000) "
LFA-1のグローバルな�
                                                                         ICAM-1!
       コンフォメーション変化�
                                                   7. Ligand binding!

                                                       6. Activation of I domain by
                                                      downward movement of its C-
                                                          terminal ”pull spring"!



                                                                  5. Swing-out of hybrid
                                                                 domain and activation of I-
                                                                       like domain!




                           3. Separation
                             of α and β                          4. Switchblade-like upward
      1. Cellular             tailpieces!                          movement of headpiece !
      activation!

                                            α	

     β	

2. Binding of factors to                              Integrin
  integrin cytoplasmic         Integrin binding       binding
                                    factor!            factor!
         domains !
Cytoplasmic proteins interacting with β integrin tails




                                          Legate KR, J Cell Sci 2009
Talin and Kindlin activate integrin




                                  Moser M, Science 2009
Talin activates integrin




                           Moser M, Science 2009
Talin activates integrin at the membrane-cytoplasmic
                        interface




                                        Moser M, Science 2009
How do Talin and Kindlin act together on integrin?




                                          Moser M, Science 2009
Talin and Kindlin can simultaneously bind to
             the β integrin tail




                                 Bass MS, Nat Cell Biol 2011
Affnity-upregulated integrin binds ligand, inducing lateral
          association (a.k.a. integrin clustering)




                                   Margadant C, Curr Opin Cell Biol 2011
Which comes first: affinity or avidity?




                          Carman CV, Curr Opin Cell Biol 2003
Puzzles to be solved (1)

Biophysical basis of integrin activation: How force
induces integrin conformational activation?


Integrin adhesion dynamism: How integrin activation
and inactivation are coordinated?
3 AREAS OF PUZZLE SOLVING�



                                 •  Integrin Activation


                                 Cell Migration
                                 •  Cell Migration


                                 •  Therapeutics
   (von Andrian, NEJM, 2000) "
More than 3 steps……




             Nourshargh S, Nat Rev Mol Cell Biol 2010
Two Distinct Routes for Transendothelial Migration




                                       Carman CV, J Cell Sci 2009
Crawling Leukocytes Display Podosomes, probing the
surface of ECs for an TEM point (a.k.a. hotspot)




                                    Shulman Z, Nat Immunol 2012




                                           Park EJ, Blood 2010
       Carman CV, J Cell Sci 2009
After EC migration, neutrophils crawl along pericyte
processes to gaps between adjacent pericytes in an
ICAM-1–, Mac-1–, and LFA-1–dependent manner




                                     Proebstl D, J Exp Med 2012
Integrin-independent Interstitial Migration 	




                                 Integrin-null dendritic cells
Integrin-independent Interstitial Migration
Amoeboid Cell Migration uses actin-network expansion that
     promotes protrusive flowing of the leading edge




                               Nourshargh S, Nat Rev Mol Cell Biol 2010
Puzzles to be solved (2)

Homing of specific cells to and within specific
organs: How stem cells migrate in the body?


Homing in human: How mouse immunology be
generalized to human?
3 AREAS OF PUZZLE SOLVING�


                                 •  Integrin Activation


                                 •  Cell Migration



                                  Therapeutics
                                 •  Therapeutics
   (von Andrian, NEJM, 2000) "
Selective inhibition of the integrin(s) required for
              tissue-specific homing




Luster AD, Nat Immunol 2005   Von Andrian UH, N Engl J Med 2000
Anti-integrin therapies validated in Phase III clinical trial
F.D.A. Approves Biotechnology Drug for Psoriasis

                                   February 1, 2003

F.D.A. Approves a Multiple Sclerosis Drug
                                November 24, 2004
PML associated with anti-integrin therapies




                               Major EO, Annu Rev Med 2010
Sales Halted In Biotech Drug Because of Link To a Death
                                       March 1, 2005

F.D.A. Panel Recommends M.S. Drug Despite Lethal Risk
                                       March 9, 2006

F.D.A. Approves Drug for Intestinal Disease
                                    January 15, 2008
Genentech Starts Pulling Back Psoriasis Drug

                                    April 8, 2009
PML associated with anti-integrin therapies plus α




                                   Carson KR, Lancet Oncol 2009
PML associated with anti-integrin therapies plus α	





                                     Major EO, Annu Rev Med 2010
New Analysis of Risk Stratification for TYSABRI® - Use
  of Biomarker has Potential to Advance Personalized
             Treatment for MS Patients 	
-
                                     May 18, 2012
Small-molecule inhibitor to α4 integrin alleviates MS




              No PML case was seen in 149 patients receiving firategrast
Puzzles to be solved (3)

How to prevent PML: Better biomarker, better
understanding anti-JC virus immunity


Novel small-molecule inhibitors: Allosteric ?,
blockade of integrin signaling ?
Thank You!!

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